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Health Checkup: August 14, 2008

Exercise Smart in the Summer Heat

The experts at the Mayo Clinic offer up the following tips for those who want to exercise despite the blistering August heat.

Take it slow
If you're used to exercising indoors or in cooler weather, take it easy at first. As your body adapts to the heat, gradually increase the length and intensity of your workouts. If you have a chronic medical condition or take medication, ask your doctor if you need to take additional precautions.

Drink plenty of fluids
Your body's ability to sweat and cool down depends on adequate rehydration. Drink plenty of water while you're working out -- even if you don't feel thirsty. If you're planning to exercise intensely or for longer than one hour, consider sports drinks instead. These drinks can replace the sodium, chloride and potassium you lose through sweating. Avoid drinks that contain caffeine or alcohol, which actually promote fluid loss.

Dress appropriately
Lightweight, loose fitting clothing promotes sweat evaporation and cooling by letting more air pass over your body. Avoid dark colors, which can absorb the heat. A light-colored hat can limit your exposure to the sun.

Avoid midday sun
Exercise in the morning or evening -- when it's likely to be cooler outdoors -- rather than the middle of the day. If possible, exercise in the shade or in a pool.

Wear sunscreen
Sunburn decreases your body's ability to cool itself.

Have a backup plan
If you're concerned about the heat or humidity, stay indoors. Work out at the gym, walk laps inside the mall or climb stairs inside an air-conditioned building.


When you're exercising in the heat, be on the lookout for heat-related illness. Signs and symptoms may include:
• Weakness
• Headache
• Dizziness
• Muscle cramps
• Nausea or vomiting
• Rapid heartbeat

If you suspect a heat-related illness, stop exercising and get out of the heat. Drink water, and wet and fan your skin. If you don't feel better within 30 minutes, contact your doctor.

Regular exercise is important -- but don't let your hot weather workouts put your health at risk.


- More than 25 percent of bottled water comes from a municipal (public) source.

- Adding cream or milk to green tea seems to destroy all antioxidant benefits.

Erectile Dysfunction: Get Over the Denial and Get Help

Dr. James Smolev, M.D. from Chesapeake Urology answers your questions about erectile dysfunction.

Q: What is erectile dysfunction?
Erectile dysfunction (ED) is the inability to obtain or maintain an adequate erection for sexual intercourse. While it is common in older men, it can occur at any age. But with correct treatment, virtually 100 percent of men can resume a normal sex life.

Q: I have ED but I’m embarrassed to ask for help. What should I do?
There is nothing to be embarrassed about. ED is very common; one out of two men between the ages of 40 and 70 have it. The first step to getting help is to find a doctor that is right for you. At Chesapeake Urology, we have 42 experienced urologists who treat patients with ED every day. We have helped thousands of men resume satisfying sex lives. All you need to do is admit you need help.

Q: What causes ED?
There are a wide variety of causes, ranging from blood circulation problems to psychological issues. ED can also indicate an underlying medical problem, such as high blood pressure, diabetes, hormone imbalance and undiagnosed heart disease. Everyone is different. I recommend meeting with an experienced urologist to help figure out what is causing your ED.

Q: What happens during the exam?
As your doctor, I would discuss your medical and sexual history. Afterward, a quick physical exam would help me determine the cause of your ED. I might order lab tests to check your cholesterol and hormone levels, prostate health and other medical conditions to make sure no other underlying conditions exist.

Q: What treatment options are available?
There are many different kinds of treatments available for ED, such as oral medications, injectable medications, hormone replacement and state-of-the-art new prosthetics. As your physician, I would help you choose the treatment that is right for you and your partner.

James Smolev, M.D. is the Chief of Urology at the Good Samaritan Hospital. Certified by the American Board of Urology, Dr. Smolev has experience in all aspects of urology, with special expertise in the use of prosthetics for the restoration of male erectile function.

For more information about Dr. Smolev and the services available at Chesapeake Urology Associates, call 1-866-955-0002 or visit our web site at

Chesapeake Urology Associates is the premier urology practice in Maryland, treating prostate cancer, testicular cancer, erectile dysfunction and incontinence, plus performing vasectomies, reverse vasectomies and more. If you have a concern, schedule a screening today by calling 1-866-955-0002.

Issue 3.33: August 14, 2008